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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5065
U. S. DEPARTMENT OF LABOR
NOT TO BE FILLED IN BY ALIEN
FOR USE OF OFFICIALS SEARCHING IMMI-
NATURALIZATION SERVICE
GRATION RECORDS
CLERK OF COURT:
RECORDS EXAMINED
Place number
in
CARD INDEX
upper left-hand corner of all copies of
declaration, immediately under your
INDEX BOOKS
declaration number.
DISTRICT DIRECTOR OF NATURALIZATION
MANIFESTS
I desire. to file my Declaration of Intention (first paper) to become a citizen.
Mr.
My name is
Mrs.
/
antonio celluci
; age,
4546 years.
Miss
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
My present occupation is
maron
My personal description is: Color, white complexion, Dark
41/2
; height, 5 feet 5 inches;
weight, 164 pounds; color of hair, Brown
dark
; color of eyes,
brown Dark blue
A
;
other visible distinctive marks:
sear on face noseand moleson face
I was born in Santo Donato, (City town) Val Di Comino (Country) Italy
or
on
the 27th day of January
, 881
My present residence is
131 Month
Morwich NewrLondon Conn.
(Number and street)
(City or town)
(County)
(State)
The place where I took the ship or train which landed me in the United States was
on march 1st 1895
napler
Italy
(Month)
(Day)
(Year)
The name of the ship or railroad on which I came was
Heulta
My last place of foreign was
residence said lanto Donata
(City or town)
(Country)
Italy
wife
I am
married. The name of my
is Maria cellacci
She
-
husband
}
was born at
, and now resides said at 131 north It
He
I am now a subject of and intend to renounce allegiance to The (Write king and title of sovereign of and country Italy of which
name now a subject;
or, if citizen of a republic, write name of republic only)
I arrived at the United States immigration port of
new (City town)
York
or
new (State, York or territory)
, on
march 14th 1895
14-8
(Give exact month, day, and year)
(OVER)
Page data
- Page
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- Source index
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- Type
- photo
- Media ID
- b4860aa6457dba72
- Size
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Document data
- ID
- 159596813
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
Document identity
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Document source metadata
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Document source extras
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Page context
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5065\nU. S. DEPARTMENT OF LABOR\nNOT TO BE FILLED IN BY ALIEN\nFOR USE OF OFFICIALS SEARCHING IMMI-\nNATURALIZATION SERVICE\nGRATION RECORDS\nCLERK OF COURT:\nRECORDS EXAMINED\nPlace number\nin\nCARD INDEX\nupper left-hand corner of all copies of\ndeclaration, immediately under your\nINDEX BOOKS\ndeclaration number.\nDISTRICT DIRECTOR OF NATURALIZATION\nMANIFESTS\nI desire. to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\n/\nantonio celluci\n; age,\n4546 years.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is\nmaron\nMy personal description is: Color, white complexion, Dark\n41/2\n; height, 5 feet 5 inches;\nweight, 164 pounds; color of hair, Brown\ndark\n; color of eyes,\nbrown Dark blue\nA\n;\nother visible distinctive marks:\nsear on face noseand moleson face\nI was born in Santo Donato, (City town) Val Di Comino (Country) Italy\nor\non\nthe 27th day of January\n, 881\nMy present residence is\n131 Month\nMorwich NewrLondon Conn.\n(Number and street)\n(City or town)\n(County)\n(State)\nThe place where I took the ship or train which landed me in the United States was\non march 1st 1895\nnapler\nItaly\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was\nHeulta\nMy last place of foreign was\nresidence said lanto Donata\n(City or town)\n(Country)\nItaly\nwife\nI am\nmarried. The name of my\nis Maria cellacci\nShe\n-\nhusband\n}\nwas born at\n, and now resides said at 131 north It\nHe\nI am now a subject of and intend to renounce allegiance to The (Write king and title of sovereign of and country Italy of which\nname now a subject;\nor, if citizen of a republic, write name of republic only)\nI arrived at the United States immigration port of\nnew (City town)\nYork\nor\nnew (State, York or territory)\n, on\nmarch 14th 1895\n14-8\n(Give exact month, day, and year)\n(OVER)"
}